Individual
ROBERT VINCENT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2130 SPRING GARDEN ST, PHILADELPHIA, PA 19130
(215) 955-9555
(215) 988-0545
Mailing address
2130 SPRING GARDEN ST, PHILADELPHIA, PA 19130
(215) 955-9555
(215) 988-0545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD018011E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD018011E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007588130002
—
PA
Enumeration date
07/25/2006
Last updated
10/24/2019
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